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JONATHAN PAK KIN FENG MD
NPI 1194469320
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 25, 2022PECOS Enrolled
9205 SW BARNES RD STE MT2800, PORTLAND, OR 97225(503) 216-2621 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Apr 25, 2022 (2 updates tracked since 2022).

About Jonathan Pak Kin Feng Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN PAK KIN FENG MD (NPI 1194469320) is an individual student in an organized health care education/training program in Portland, Oregon, licensed in Oregon (PG211868) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194469320
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN PAK KIN FENGCredential: MD
Location Address9205 SW BARNES RD STE MT2800Portland, OR 97225-6603
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-2621
Sole ProprietorNo
Enumeration DateApril 25, 2022
Last NPPES UpdateJune 20, 20222 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
✔ NPI 1194469320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OR · PG211868
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9205 SW BARNES RD STE MT2800, Portland, OR 97225
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Pak Kin Feng Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY N LANEHURST PHD
Psychologist
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
DAPHNE A SY MD
Internal Medicine
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
KHOI T NGUYEN DO
Internal Medicine
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
EMMA ELIZA HILL MD
Dermatology
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
JOANNA M BOVE MD
Internal Medicine
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
ASHLEY M HOFF MD
Student in an Organized Health Care Education/Training Program
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
AMANDA CATHERINE TEP DO
Student in an Organized Health Care Education/Training Program
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
ANNIE M DUNN MD
Student in an Organized Health Care Education/Training Program
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Feng's NPI number?

The NPI number for Jonathan Feng is 1194469320. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Jonathan Feng located?

Jonathan Feng practices at 9205 SW Barnes Rd Ste Mt2800, Portland, OR 97225. The listed phone number is (503) 216-2621.

What is Jonathan Feng's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Feng enrolled in Medicare?

Yes. Jonathan Feng is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Feng was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.